Organization Active NPI

Sumner Medical Group, PLLC

  • Internal Medicine Physician
  • Gallatin, TN
National Provider Identifier
1871622779
Registry record updated Feb 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
SUMNER MEDICAL GROUP, PLLC
Practice address
300 Steam Plant Rd
Suite 300
Gallatin, TN 37066-3032
Phone
(615) 230-8070
Fax
(615) 452-1774
NPI assigned
Mar 5, 2007
Last updated
Feb 2, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Alton Sid King Jr., MDNPI 1437121092
Title
Medical Director
Phone
(615) 230-8070

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU
Internal Medicine Physician 207R00000X NU Primary
Gastroenterology Physician 207RG0100X NU
Pulmonary Disease Physician 207RP1001X NU
Neurology Physician 2084N0400X NU

Addresses

Primary practice location

300 Steam Plant Rd
Suite 300
Gallatin, TN 37066-3032

Mailing address

300 Steam Plant Rd
Suite 300
Gallatin, TN 37066-3032
Phone (615) 230-8070

Other identifiers 1

IdentifierTypeStateIssuer
3710658MedicaidTN

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

880 Greenlea Blvd
Ste C
Gallatin, TN 37066

264 New Shackle Island Rd
Ste 103
Hendersonville, TN 37075
Phone (615) 822-0858

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485993600000",
    "number": "1871622779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 STEAM PLANT RD",
            "address_2": "SUITE 300",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "370663032",
            "telephone_number": "615-230-8070",
            "fax_number": "615-452-1774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 STEAM PLANT RD",
            "address_2": "SUITE 300",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "370663032",
            "telephone_number": "615-230-8070",
            "fax_number": "615-452-1774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMNER MEDICAL GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2017-02-02",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "ALTON",
        "authorized_official_middle_name": "SID",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "615-230-8070",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3710658",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gallatin, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.